Therapy for Black Girls

Session 456: The Realities of High Functioning Depression

Mar 25, 2026
Dr. Judith Joseph, a clinical psychologist and researcher who studies high-functioning depression, explains how depression can hide behind productivity and overcommitment. She discusses anhedonia, trauma and caregiving links, the Five V's framework for reclaiming joy, and practical practices to notice and plan small moments of pleasure.
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INSIGHT

Unprocessed Trauma Creates Worthiness Deficits

  • Severe (big-T) traumas link strongly to HFD through internalized shame, guilt, and self-blame.
  • Unprocessed trauma pushes people into people-pleasing and feeling undeserving of rest, driving persistent busying.
ADVICE

Start Recovery By Validating And Measuring Anhedonia

  • Validate your feelings first and use measures to quantify anhedonia so you can name the problem.
  • Dr. Judith provides rating scales and tools to reveal lost enjoyment that people often miss without assessment.
ADVICE

Vent With Consent To Avoid Emotional Overload

  • Vent intentionally with emotional consent and avoid trauma-dumping; choose one or two trusted people.
  • Ask if it's a good time, seek reciprocal relationships, or use a therapist for full processing.
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